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General NPI Number Information
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NPI Number | 1346859089
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Entity Type | Organization
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Legal Business Name | GARNET TRANSPORT MEDICINE, LLC
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 04/18/2022
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Provider Practice Location Address
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Address Line | 1000 RIVER ST BLDG 900
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-4201
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Country | US
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Telephone | 802-876-2300
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Fax | 802-876-2398
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Provider Business Mailing Address
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Address Line | 34 BLAIR PARK RD STE 104
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City | WILLISTON
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State | VT
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Zip | 05495-7991
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Country | US
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Telephone | 802-876-2300
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Fax | 802-876-2398
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RYAN T FERRIS
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Credential |
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Telephone | 802-876-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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